| NPI | 1073951877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61228411) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA23276) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-01-06 |